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HomeMy WebLinkAboutBuilding Permit 03-1017 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si.2ll at bottom) ADDRESS a ~ J. _ -J--; --rI < () ;Jqg7 ,d1rpQaA /~ Date Rec' d 7- 7- ()Lj 1. White File 2. Pink City 3. Yellow Applicant PERMITNO. OJ-loll ZONING (office use) tel LEGAL DESCRIPTION (office use only) ~ A /J (7 ~ ~~ LOT //'BLOCK..3 ADDITION' J,If.,l" W~5~" o Misc. I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with su d plans. I am aware that the bu' .' g official revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may e erup thepro~ ee inspe =#-/7/!) -Y/7/0.3 ( Signlttire- Contractor's License No. Date \. ./ I P.:.uuit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical P.:.uuit Fee 3q;).jOOD, $ ~d-%>q5 $ /1 0 ~ ' ~ ~ $ f Cf& $ $ $ $ $ 100---" I 0 0, ......,,-. 8,Z) sO ~ r----- I _BuilWng~~1 r Daie Sewer & Water Permit Fee Gas Fireplace Pc..l1uit Fee . . Park Support Fee SAC ~ Water Meter Size 5/8";\l:,;/ Pressure Reducer # # $ . R5-c)~ $ ,~/S ~ $ gC)(),- 1$ ']0..- 1 $ /~. ~ I $ '7c2? -'-- I $ /500.----' $ City SAC and WAC Water Tower Fee I Builder's Deposit Other # # TOTAL DUE $ /~ 7()L(-~'l . Paid 10. '7oi--/, # Receipt No. iji1f(f6 . Date '5' ,J1-03 Bv 8- This is to certify that the request in the above application and accompanying documen.ts is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning comp~ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447..9850, tax (952) 447..4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Tht ('tnttr of tht 1,.1It Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION 'RECEIVED {... '. ! (~ ',7"-" l /1'. f /-. /) '?) (/,,- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is PJoposed at: ,/) (; (' /'/'..,' /#(_.'<,.\ l\/~ ./('~"j' ' - '..~ , ',./ t;"~j 1./( cA' ) r Accepted t/ Accepted With Corrections Reviewed By: I;)k 7Jh I I Denied Date: Comments: liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the Jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Thr C'rnlrr of Ihr takr ('ounlry White - Building Canary - Engineering Pink - Planning / / BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ ~ APPLICATION RECEIVED /f 7 -03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construCtioG9i} ;idh ~~ +- T r / Accepted Accepted With Corrections Denied fo~ I ~l~> Reviewed By: Comments: Date: I. ,tk:xL tJ f ?o tkArA/ 7i [$- IAJ )!,~ liThe issuance or granting of a permit or approval of plans, specifications and, computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Thf (',nl'f or lhf l..kf ('ount"; White - Building Canary - Engineering Pink . Planning BUILDING PERMIT APPLI~ATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED . -iI.... (-:"~'\ ....,f .' .,,'" ~~., ,., ,/~''''_,i Lt./< 1......1:........-..<..,. 1_- T .....:;. ,.,.'.'~ , ~. / -- () -.:) I : x/. .tt~'.-:({.:~.{;~' ";(,. ~~':1:' I I '...1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is Proposed at: (} c;\ r; if 2). it"" ("-1 ) r- Accepted ><.. Accepted With Corrections Denied Reviewed By: ~ . . Dat~: . ,110 103 Comments: See Reverse Side for Additional Information! See Attachments: '1 ) Grading Plan, .2) Erosion Control Measures 3) Erosion Control Plan liThe issuance. or granting of a peltmit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of! any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. II FROM: WELTER & BLAYLOCK PHONE NO. 612 8828573 Sep. 22 2003 03:40PM P1 Date Rcc'd CITY OF PRIOR LAKE l'LUlVIBING PERMIT ~. ~~~ ~:~ PERMIT NO. ~ - /011 1 3 v ~uUU' A..,li4tlnl .....;) (PIc::L$C type or print an.d sWt, at bottOm) ADDRESS ~ 787 /30 beq -f IrQ I ZONING (office use) LEGAL DESCRJr J AON (office use: only) LOT 16 BLOCK 3 ADDITION ,he {;Ji Ids 5oL(.+~ OWNER /J. J / ' /i (Name) Of.( +1 e r"Ho I.l S J~ L ('H" f (Phone) 9's;J -'13/ -'//3 J... (Address)fO f3o~ C:;J./S97 /)fJp/~')((I/e'f)M;1/ S5/~{ APPLICANT (Name) ~/-I-e ~ ~ tiLB: Y /0 tJ t (phone) 9" S'~ - <6 g' ~ - ~ b g- J (Address) /..!:>-D 9 G' 1-1 LV V /3 13 u y" J1 S U -/ //-v . A1 /1/ .s 5" 3 3' 7 (Address) (City) I (Zip Code) (Contact Person) " J L L:- I?"'" J '-' d f (phone) 'is J. - [{ &' ~ -15''' ~ I APPUCANTSIGNATURE (.0f'14A, 9 t~.. DATE q-d).~;.()3 APPLICANT PLEASE COMPLE 1 t. BELOW , Type of Fixture Quantity Bath Tub with or without shower Dishwasher I Floor Drain 1~1.~ I Lavatory (Bathroom 'Sink) I Laundry Tray (lor 2 compal \-went sink I Shower Stall I Sinks I Bar Sink I Water Clos<..~ (Toilet) Quantity I l ;2. S- f ~ i / .3 PID~5.3~~o700 Type or Fixture I I l Rough-ins Water Heater I Water Softnel' Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly I Baclcflow Assembly Test I I Lawn Sprinkler I Other f4<J~, {D-"V ~ ~ FEE SCHEDULE Industria.1. Commercial &. Multi-fan1ily 1% orjoh Cl)5l with a $39.50 minin,um (Office: Use Only) Rc:sidcntial. New One & Two-Fumily $99.50 Rc:sidentin.l, Addiri()M &. AlteratioM S39.50 Estimated Cost $ Building Permit # D 3'-/0/7 Building Offici_I ~u A PLUMBfNG PERMIT FEE $ ~ ';//1() STATE SURCHARGE $ . .50 '_ ~ ~ TOTAL PERMIT FEE $ 'Wf-&- t- ] ill ~ '1\ .()<'", . "~id SEP 2 ., , .~\f,' 'eipt No. ,i ~ ,00.3 LI II . __ , 0." :~1. ..-. ~~ J./L____..J 24 huur notice 'nr llll inspections (952) 447-9850. fax (952) 447~4i45-- . V J - 16200 Eagle Creek Ave.. S.t:.. Prior Lake, MN 55372-1714 This Application Becomes Your Building Permit When Approved FIRESIDE CORNER #4087 P.002/007 OR IJAKE G/~JJ.(EPLACE PERMIT D2Ite Rec'd (J'leue 1lJIt 01' Priru and .p IU )ottom) ADDRESS 2987 BOBCAT TRAIL .tI~~SIDg:. Ii E ART H &-li 0 M E'" Flit; C/ly A,pI'ICII1I PERMIT NO.. :3 -I 0/1 ZONmG (ofYice lase) LEGAL DESCJUP.110N (oftir.~ use only). LOT BLOCK ADDITION pro OWNER (Name BtfT"t.EB HOU,SWG (Add.ress) (phone) APPLICANT (Nam~) ALLIED FIRE!;rOF. OBA FTR.F.~TDF. HF.AR.1J~ (Phone) 65'~33..?~~1 (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVTLLE (City) 5S113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) .651-633.2561 APPLICANT SIGNATURE BRfNDA HU.STON DATE 1.0/8/03 APPJ.JICANT PLEASE COMPLE I jf~ BEI.JOW XO NEW CONSTRUCTION 0 REPLACEM,ENT 0 ALTERATIONS fURNACE MAKE AND MODEL FUEl.. fLUE SrZE RETURN OPENINGS INPUT OUTPUT n ,~ .r:, OF SYS J: J:'J:tf JWerm Air Planes :JQravity :J Mechanic!).! :JAir Conditioning JVcnt. System Jjr.A J.u~G OR POWER. PJJANT o Steam o Hot Wfl';er o R;ldhltion C Special Devices C. Other Devices PLEASE NOTE: Air Condi.tioner Units Cannot EncrolJch into Required Side Yard Set.backs FJREPT..ACE MAKE AND MODEr.. HRA TN GLO ST -HVB AND 6000TR,..AO~: FEE SCHEDUJ..E JndustrIal, CommaciaJ & Multi-Family ] % of j4)b COST. ResidentioJ, Gft,s FlrepJBcc $39.50 $39.50 minimum Residential. Heating & Ale (New Con.~nJction) $99.50 ResidentlaJ. Addit;c)DS & Alterations 539.50 Residcnli"r. Hr:a.t;ng Only (New Construction) $64..50 Reflidentml, At: Only 0 Estimated Cost S B 'Id' P . # ~~ ([0 ~ ~ \f ~ ~\\ - HEATJNGPERMITFEE uJ.Srng ennlt .50 ~ \(O~,1 ()~2003 ~.\'_\ STATE SURCHARGE $ TOTAI~PERMJT fEE S (Om<<UHOnry) ~ This Application BecQmes Your Building P~r~i.t W'U'!n......DnroN~d ./, r Ps.id d B') 1(eceipt Ml\ID aMTlI It A 11'tfir,lf"6l. l:mme 1(!j:TIm ogt!S-lmn . I BllILDING PERM ~' Bu.ilder D;vi.~r'on Date ii::f3Y /~" ~ C R'.tfd'"eO~otJ Fairvicw Avenue North RoM.I\JMle, MN 55113 ) ho,~~~-25(l1 F:tx 64il.:' . !....;~.i JU[l.PIt s; .-;,.un, 3850 West Hi[lhw~v 131 Bwnsv,'UeJ ~ 5SJ(172PhonCQ4tU.1I90.Jl75R4Fax., 4952-890-5408 , ~1!1I.f>~CJ,~~4i[lllIVf~~ :.M'llour not to fQr RJ JnJpeet on~ ,~5 ) 447;'')~5fJ; fix {9~2., 4 '-4Z S W1W'.l'In:,d"t:I"II.1!f)fIl MN C.lftl,. ,.lI~ct'I~ "200""" - CITY OF PRIOR LAKE . HEATING/AIR CONDIIIONING/F1KEPLACE PERMIT Date Rec'd (Please type or print and sign at bottom) ADDRESS t':l ~ ~ 9 87 , vl>:J&I!r I/?4 i(, ~: ~ ~~ PERl\tu.l NO. '2 - 101'7, 3. Yellow Applicant C/ t I ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I q'Q ./ffI... 'fl:.,11';( el1 J,/ /)10 tJ6 ~li r30t ~LfftJ ~ . ~~F y'<~ I!I.M W&!J. (Phone;~ /'1;~!j)J"JIt7 (Address) L) lI~~ iYJtJJ. ~S'i d] - D ~ ~~~S) (City) (Zip Code) NJjJl!:- . .. \ft. / (Phone) j,/;, ~ Y bib? APPLlCANrSIGNATURE' -; , 0//1 DATEJO,). tJtJ. ~;LIC~T P~~E COMPLEIE BELOW ONEWCONSTR~...oN 1._ t]REPLACEMENT OALa.KATIONS, j~ l/J ~ . FURNACE MAKE AN~1f9DEL " ~ FUEL --fJI-II f C:iY(f FLUE SIZE ~It ~r~ RE1URNO~~l~INGS _ J/J _. . INPUT JtJll/1/l/t) OlJ1~UT ~ ~ SYSTRM~" IIJ t '1IEA'I1NGOR POWER PLANT -h PLEASE NOTE: , . Air F lants 0 Steam o vity 0 Hot Water Air Conditioner Units echanical . 0 Radiation Cannot Encroach int.o . Air Conditiorfing 0 Special Devices I I t(equired Side Yard DVent. Syst~ 0 Other Devices Setbacks FIREPLACE MAkE AND MODEL OWNER (Name) (phone) (Address) (Contact Person) Industrial, Commercial & Multi..Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimllm $99.50 $64.50 Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Penn it # HEArING PERMIT FEE $ . STATE SURCHAR(JE $ .50 TOTAL PElm'uJ. FEE $ __" r'~-'\ \'f,@~~\j) ~ ~ OC1 () S lU\Y3 ~ (Office Use Only) , This Application Becomes Your Building Permit When Approved Paid Date By (1' Building Official Date "'.1~'(1' .~~,"t r.-",~ ll~., ~.., I~,r-.. ,....,,"~r-. r :o.r-.... ,- <l . PRIOR LAKE DEPARTMENT OF . BUILDING AND INSPECTION . INSP,ECTION RECORD SITE ADDRESS ~ , ''I B~JJ{..A" T;~; I NATURE OF WORK ~ USE OF BUILDING - SF- D PERMIT NO. ~ ~- (on DATIi ISSUED . CONTRACTOR I:JM,,;I' It:" &..~..... PHO~' 3~'. ,;4 ,ea NOTE: THIS IS NOT A PERMIT FOR ANY ~HE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE .. ~ 48!f,t6z3 FOUNDATION (Prior to Backfill) / 21 8-// J / PLACE NO CONCRETE UNTIL A,BOVE HAS BEEN SIGNED ~{C- Up /0 l&tt.N'rrflmGH - tft3 . jI1,f? !tJ-J,).--tI"> SEWER I WATER I SEPTIC ~ j! . ~ -/ ~ FRAMING ~~ ~ t::f4- ,'P,V;, tDlta.{ INSULATION t...-v\....~ wLP-t ~ /2P ~-/.P ELECTRICAL PLUMBING L", \.;,~ tP M ~ ..p ~ ~ HEATING (If required) \.A,v. ~ ~ V <;I rJJ ~ _ FIREPLACE l,.-",l...-"~J ~~~ GAS LINE AIR TEST ~ ~f>v 1A9'i'1?--.~~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED t/t(Hc hb- ~{Jt~ FIN/5i+ Lo~e/L Le-v&,- FINALS GRADING (Prior to Sodding) BUILDING <'\t:".p, l L/~ ~ ELECTRICAL PLUMBING HEATING DO NOT lO/~4 FOOTING r . I~ 41'1\ r# U .J. d4-- ~~ " I ~ I' ~<S OCCUpy UNTIL' ABOVE HAS BEEN SIGNED NiOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 .... .... o. ... CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted with Building Pennit Application) F or All Properties Located in the Shoreland District (SD). The Maximu~ Impervious Surface Coverage Peuuitted in 30 Percent. Property Address ;:<,q tB 7 ~ 7licuJ-. , Lot Area I (PJ 'f14- Sq. Feet x 30% = .............. L/!l!J~, 2- **************************************************************~********* HOUSE LENGTH WIDTH SQ. FEEl x = /q17 x '., = x = 72-</ AltACHED GARAGE TOTAL PRINCIPLE STRUCTURE...................... ~7o/, O. DETACHED BLDGS (G~ge!Shed) x x TOT.:i...L DETACHED BUILDINGS....................... -0- DRlVE\V A YfPA VED AREAS x = ~7?0,O (Drivew:ly.p:lved or noe) :< = -0- (Sidewalk/Parking Areas) x = 75, 0 TOT.-\L P A YED .~AS......................................... Po5,o G.e.n~ORCHESiDECKS (Op~n Decks yo..' rr.in. opening between boards. with a pervious surface below, arc not considered to be:: impervious) x = x = x = TOT.U DECKS...... ............. ..................................... 2bo,D. OTHER x X = = TOT.U OTHER................. ..................................... ~o - TOTAL IMPERVIOUS SURFACE UNDEFJOVER ~. Prepared By S~-.u. J6J-(t- , Comp~ ~ ilvd~ ~Vl{.eerl U- Date 3 ffobl d 118Z, Z~ \ 7-~-o~ ( rrb/ J 105 - fdctJo Phone # DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 1i1~7 SCHEDULED 1JJ ~ It? ~ ~ 1-J{)0 ~vt OWNER CONTR. PHONE NO. PERMIT NO. s -- l<9l7 o FOOTING o FOUNDATION o FRAMING o INSULATION ;; FINAL Jfj SITE INSPECTION o PLU"BING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o <;OMMENTS: . ~ -LA~~~~UO //~~, ..-~( ~ \<\M;/~ V3. ~/l~-~L-r-W~ \I y,... .It ~~ '7 ,.VO~~ {' ~ V'e-t !V~ ~k- uJ..Q ~~ ~~,6 .vJp, 14>.~ '^~ Ikkl/r, <:\ v~'- V \ <:\ 0 BI'L 1&.-1 o WORK SATISFACTORY. PROCEED ~ )X>RRECT ACTION AND PROCEED Ii CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. /-f"A. OwnerlContr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR' YOUR PERSONAL HEALTH & SAFETYI INSNOn CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS Z9'f}7 tfott~/ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~FINAL o SITE INSPECTION o PLUMBING RI o MaCH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE nME ~',l)4 //V1/~ 0:>'- \0\\ o F;X~'LLlNG o C~Nr o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: rfrv~ ~/VJP6 C(.)R.~ ~oP ~~" (..oW ... 0" ~~ -OK ()~ --10 ~ ' c..A.\...\... ~tL ~AL o~ ~ t" 't1La~ APi:.. ~k~~~t) . j.X> $60 o! _ Aff!JS1:j .>OOI#/v'- tr6 ult4,A./G ~/_ @2- /:~II /?~. ,~e ~6741/b It 1J)Jt1vJ" (/~ f'-IP FfJIL /ioWWI1/eJt," -(hA~ H-5 - f4-.r9 J \... () w~ I57t- / ~ WORK SAns FACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPEcnON BEFORE COVERING Inspector: ;t~J.,.) OwnerlContr: CALL 447.nSO F~R-~ NEXT !INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS:2~ B ry ~\oa~~ OWNER CONTR. PHONE NO. PERMIT NO. ;:;&( PLUMBING RI o MECH RI o WATER HOOKUP ~EWER HOOKUP PLUMBING FINAL MECH FINAL o FOOTING o FOUNDA rlON o FRAMING [] INSULATION 'JZ. FINAL [] SITE INSPECTION DATE nilE tl'7.~6] '~7lS 1 - 10 17 o EXIGRADIFILUNG o COMPLAINT o FIREPLACE RI [] FIREPLACE FINAL [] GASLlNE AIR TST o COMMENTS: 'TIlocr t:i~ ,,- ~O~ lJ~ ~. ~p 0~~ 84~ . J. ~~A. , 5;aMO~ !Q~ ~~J- ~ 2.. ~~" ~~r- - - 1 fkD~ Q;~ I I~ ),.~ ~J ~ ~ Q..t- ~ ...~ 0 I" 7 - - ~ 4 ~.~ r,...-(>.IJJ T l6.,~ · ~. &..Ju-D_ ~ dJA ~ _ <e.. ~lft ~bj 6~ ~ 7. ~ J- JU-al/A ~ r):;;'rr7A ~~ If-- ~ & d- \ I1QeJi; ~ ~~~- o WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED ,*ORREmRKI CALL FOR REINSPECTION BEFORE COVERING Inspector:, . OWner/Contr: CAL~ 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. IJtSNOTI CODE REQUIREMENTS ARE FOR fOUR PERSONAL HEALTH & SAFETY/